| Entity Name: | DOMINGUEZ BAUTE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Mar 2020 (5 years ago) |
| Document Number: | P20000026051 |
| FEI/EIN Number | 85-0528455 |
| Address: | 14707 S DIXIE HWY SUITE 201, Palmetto Bay, FL, 33176, US |
| Mail Address: | 14707 S DIXIE HWY SUITE 201, Palmetto Bay, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518582295 | 2020-06-09 | 2024-05-10 | 14707 S DIXIE HWY STE 201, MIAMI, FL, 331767950, US | 14707 S DIXIE HWY STE 201, MIAMI, FL, 331767950, US | |||||||||||||||||||
|
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| Phone | +1 786-250-3475 |
| Fax | 7863647348 |
Authorized person
| Name | ILEANA DOMINGUEZ BAUTE |
| Role | PRESIDENT |
| Phone | 7864190994 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAUTE ILEANA D | Agent | 14707 S DIXIE HWY SUITE 201, Palmetto Bay, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| Dominguez Ileana | President | 14707 S DIXIE HWY SUITE 201, Palmetto Bay, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| MORALES EMILIO | Vice President | 14707 S Dixie Hwy, Suite 201, Palmetto Bay, FL, 33176 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000054333 | PSYCHIATRY & BEYOND | ACTIVE | 2023-04-29 | 2028-12-31 | No data | 14707 S DIXIE HWY SUITE 201, PALMETTO BAY, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-25 | 14707 S DIXIE HWY SUITE 201, Palmetto Bay, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-25 | 14707 S DIXIE HWY SUITE 201, Palmetto Bay, FL 33176 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-25 | BAUTE, ILEANA DOMINGUEZ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-25 | 14707 S DIXIE HWY SUITE 201, Palmetto Bay, FL 33176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-15 |
| Domestic Profit | 2020-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
